JESSICA FENNELL
NPI 1790148914
Pediatrics - Pediatric Rheumatology in Hartford, CT
About Jessica Fennell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA FENNELL (NPI 1790148914) is an individual pediatric rheumatology provider in Hartford, Connecticut, licensed in Connecticut (70529) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Fennell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Fennell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06106
HARTFORD, CT 06106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Fennell's NPI number?
The NPI number for Jessica Fennell is 1790148914. It was assigned to this individual provider in the NPPES registry on April 4, 2016.
Where is Jessica Fennell located?
Jessica Fennell practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9970.
What is Jessica Fennell's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.
Is Jessica Fennell enrolled in Medicare?
Yes. Jessica Fennell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Fennell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fennell reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Fennell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Fennell accept?
Health plans from Anthem Blue Cross and Blue Shield list Jessica Fennell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessica Fennell was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Fennell · NPI 1790148914
Pediatric Rheumatology physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 4, 2016.
## Identity
- **NPI:** 1790148914 (Entity type: Individual)
- **Enumerated:** April 4, 2016
- **Primary specialty:** Pediatrics - Pediatric Rheumatology · taxonomy 2080P0216X
- **State license:** 70529 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 282 WASHINGTON ST, Hartford, CT 06106-3322
- **Phone:** (860) 545-9970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790148914) · Data from the CMS NPPES public registry.